|
|
|
| Ultrasound-guided microwave ablation for benign thyroid nodules: the analysis of efficacy and safety |
| FANG Jian-qiang, ZHAO Wei-an, LI Qing |
| Department of Interventional Ultrasound, Xianyang Center Hospital, Xianyang Shaanxi 712000, China |
|
|
|
|
Abstract Objective: To explore the clinical efficacy and safety of ultrasound-guided microwave ablation in the treatment of benign thyroid nodules. Methods: Thirty-six patients with 53 benign thyroid nodules were treated by ultrasound-guided microwave ablation. Ultrasonography was performed before operation, 1, 3, 6 and 12 months after operation to evaluate the local efficacy and safety. Results: Thirty-six patients were successfully injected with isolated fluid under ultrasound-guided and successfully performed microwave ablation. Immediately contrast-enhanced after treatment, the total ablation rate was about 90.6%(48/53). None of the cases had serious complications. All nodules were shrinking with the extension of time, the volume shrinkage rate of mixed cystic and solid nodules was significantly better than that of complete solid nodules, and the shrinkage rate was faster, reaching 71.25% at 3 months after operation. Conclusion: Ultrasound-guided microwave ablation of benign thyroid nodules is a safe and effective treatment method, which is worthy of wide clinical promotion.
|
|
Received: 09 May 2018
|
|
|
|
|
|
| [1]Nguyen QT, Lee EJ, Huang MG, et al. Diagnosis and treatment of patients with thyroid cancer[J]. Am Health Drug Benefits, 2015, 8(1): 30-40.
[2]Verma A, Jeon K, Koh WJ, et al. Endobronchial ultrasound-guided transbronchial needle aspiration for the diagnosis of central lung parenchymal lesions[J]. Yonsei Med J, 2013, 54(3): 672-678.
[3]包燕妮，王茂林，高木火，等. 彩色多普勒超声引导和监视下射频消融治疗甲状腺良性结节临床分析[J]. 齐齐哈尔医学院学报，2016，411（29）：16-19.
[4]杨映弘，吴晓莉，颜璟，等. 超声引导下微波消融治疗甲状腺良性结节37例报告[J]. 中国微创外科杂志，2016，181（4）：31-34.
[5]钱林学. 超声引导下射频及微波消融在甲状腺结节治疗中的应用[J]. 中华医学超声杂志：电子版，2013，10（11）：870-873.
[6]吴猛，周如海，袁瑞，等. 超声引导下乙醇消融与射频消融治疗甲状腺囊实性结节的疗效对比研究[J]. 临床超声医学杂志，2017，19（9）：606-609.
[7]丁千，张梅，刘灿. 超声引导下微波消融治疗甲状腺良性结节的疗效评价及短期随访[J]. 临床超声医学杂志，2016，18（6）：397-400.
[8]李小龙，卢峰，徐辉雄，等. 超声引导经皮双极射频消融治疗甲状腺良性结节[J]. 影像诊断与介入放射学，2016，25（1）：60-64.
[9]王勇飞，殷德涛，马润声，等. 超声引导下射频消融治疗甲状腺良性结节153例疗效分析[J]. 西安交通大学学报：医学版，2018，210（1）：15-18.
[10]Baek JH, Ha EJ, Choi YJ, et al. Radiofrequency versus Ethanol Ablation for Treating Predominantly Cystic Thyroid Nodules: A Randomized Clinical Trial[J]. Korean J Radiol, 2015, 16(6): 1332-1340.
[11]Kihara M, Hirokawa M, Masuoka H, et al. Evaluation of cytologically benign solitary thyroid nodules by ultrasonography: a retrospective analysis of 1 877 cases[J]. Auris Nasus Larynx, 2013, 40(3): 308-311.
[12]闫磊，章建全，曹昆昆，等. 微波消融改善甲状腺结节粗针穿刺活检的过程与结果[J]. 第二军医大学学报，2017，38（10）：1250-1255. |
|
|
|
